| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $186.21 | $239.88 | |
Aetna
| Professional | $34.67 | $38.90 | $46.77 | |
Cigna
| Professional | $54.95 | $54.95 | $54.95 | |
HMSA
| Professional | $54.95 | $54.95 | $54.95 | |
Kaiser Permanente
| Professional | $43.65 | $47.86 | $54.95 | |
United
| Professional | $46.77 | $58.88 | $75.86 | |
University Health Alliance
| Professional | $44.67 | $44.67 | $52.48 |